• 보건행정학회지
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• 제7권2호
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• pp.46-64
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• 1997

Background & Objectives : Korea is face with the social need for health care technology assessment so that it is urgently needed to found principles and methodology in technology assessment in health care. As a groundwork for health care technology assessment, we tried to prioritize medical technology for assessment. Among medical technologies, procedure is somewhat difficult to assess, compared to drug or equipment. In this study, we aimed at the prioritisation of medical procedure to be assessed, in terms of efficay, safety, and adequacy. Method : For the standardized classification of medical procedure, ICD-9-CM(International Classification of Diseases 9th edition - Clinical Modification) was used. Among the list the procedures coming under otorhinolaringjology and thoracic surgery were selected by three family physicians. The list of procedure was mailed to the board certified surgeons of both disciplines, with the question asking about the necessity for assessment in terms of efficay, safety, and adequacy. Replied questionnaires were analyzed in each procedure. Results : Of 560 otorhinolaryngologist and 480 thoracic surgeon, 114 surgeons replied. Of otorhinolaryngological procedure, incision, excision, and destruction of inner ear : fenestration of inner ear : stapedectomy and its revision were the most urgent technology to assess in the aspect of safety. For adequacy, operations on Eustachian tube: fenestration of inner ear: incision, excision, and destruction of inner ear were highly ranked in necessity, and for efficary, operations on Eustachian tube; external maxillary antrotomy; fenestration of inner ear. Thoracic surgeons replied thoracic procedures, lung transplantation; heart transplantation; implantation of heart assist system [pump] are most important for evaluation in terms of safety; and heart transplantation; Lung transplantation; Implantation of heart assist system [pump] in terms of adequacy, and surgical collapse of lung [Artificia니 pnemothorax or pnuexoperitoeum]; lung transplantation; periarterial sympathectomy in terms of efficacy. As a whole, surgeons regard safety evaluation is more urgent than adequacy or efficary. In addition, otorhinolaryngological surgeons regard evaluation of their procedures more urgent than thoracic surgeons regard theirs. Conclusion : By the questionnaire to board certified physicians, we get some preliminary data for prioritisation of technologies to assess. Through the questionnaire like this, much information would be gathered for technology assessment, especially for medical procedure, if not enough. In the near future, well structured expert opinion gathering research, such as modified Delphi or nominal group technique, should be done succeedingly.

• 대한건축학회연합논문집
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• 제21권5호
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• pp.133-140
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• 2019

Building Information Modeling (BIM) and modular construction are regarded as important technologies that could contribute to overcoming the crisis faced by the construction industry. However, BIM uptake in current modular construction projects is limited. Moreover, there are no specific guidelines to support decision-making regarding the application of BIM in modular construction projects. Therefore, this study aims to analyze the possibility for BIM uptake in each phase of modular construction projects in Korea. Initially, the literature detailing on BIM uptake cases in modular construction projects was reviewed. The detailed work and activities for each phase of a modular project were analyzed via a questionnaire targeting domestic modular experts, to derive items requiring improvement due to errors or changes occurring in the actual project. Ten realistic BIM uptake items were derived, reflecting the results of literature review and expert interviews. Then, the BIM uptake items in each phase were analyzed in terms of necessity and efficiency via a second questionnaire using five-point Likert scales. Finally, the BIM utilization index (BIM UI) of the BIM uptake items was suggested as a priority measure. As a result, the BIM UI of "3D coordination" (U2), "design authoring and reviews for off-site fabrication" (U3), and "detailed 3D modeling for off-site fabrication" (U4), were assigned the highest priority. The results of this study can be used as guidelines to support decision-making regarding the application of BIM in modular construction projects.

• Journal of Hospice and Palliative Care
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• 제25권3호
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• pp.110-120
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• 2022

Purpose: The purpose of this study was to confirm the factor structure of the McGill Quality of Life Questionnaire-Revised (MQOL-R) in the context of Korean culture and to verify its reliability and validity. Methods: The participants comprised terminal cancer patients aged 25 or older, and data from 164 participants were analyzed. The study was conducted in the following order: translation, expert review, reverse translation, preliminary investigation and interviews, and completion of the final version. Confirmatory factor analysis was applied to evaluate the validity of the instrument, and the Beck Depression Inventory, Korean version (K-BDI) was applied to confirm the criterion validity of the MQOL-R Korean version. The Cronbach's alpha coefficient, representing internal consistency, was measured to evaluate reliability. Results: Cronbach's alpha for all 14 questions was 0.862. The model fit indices for confirmatory factor analysis were within the acceptance criteria. The factor loadings of all four factors were over 0.50, and convergent validity and discriminant validity were confirmed. Regarding criterion validity, a negative correlation was found between the four factors of MQOL-R Korean version and the K-BDI. Conclusion: The MQOL-R Korean version, the reliability and validity of which were verified in this study, is a 15-item tool consisting of 14 items dealing with four physical, psychological, existential, and social factors and a single item evaluating the overall quality of life. The MQOL-R Korean version is an instrument that can more concisely and effectively measure the quality of life of patients with life-threatening diseases.

• 한국조경학회지
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• 제46권5호
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• pp.1-9
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• 2018

본 연구는 전문가와 일반인 집단 사이의 정원과 공원에 대한 인식 차이를 규명하기 위해 수행되었다. 설문을 통해 정원의 영역과 규모, 예술성과 과학성, 공공성, 실용성과 심미성, 조성 및 관리 주체, 주재료 등을 조사하였으며, 아울러 수목원정원법과 도시공원법에 대한 이해도를 규명하고자 하였다. 문헌연구를 통해 정원과 공원의 속성을 도출한 후 전문가와 일반인에게 각각 설문조사를 통해 정원과 공원의 개념, 유사성, 차이점 등을 각각 분석하였다. 정원 및 공원의 범위에 대해서는 전문가 그룹이 일반인 그룹에 비해 더 넓게 인식하고 있는 것으로 나타났다. 공통적으로 정원으로 인식한 공간은 옥상녹지이며, 도시숲은 공원으로 인식하고 있었다. 또한, 일반인 그룹은 도시숲을 정원으로도 인식하고 공원으로도 인식하여 구분이 명확하지 않았다. 전문가 그룹에서 정원은 소규모이고 공원은 대규모라는 인식이 더 우세했다. 대체로 정원은 개인공간이고 공원은 공공공간이라는 인식이 많게 나타났으며, 전문가 그룹에서 정원은 개인적이고 공원은 공공성이라는 인식이 더 우세했다. 일반인 집단은 전문가 집단에 비해 정원과 공원 모두 근소하게나마 예술적 창의성보다 기능적 과학성이 더 강조된 것으로 나타났다. 또한, 일반인과 전문가 모두에게서 대체로 정원보다는 공원이 예술성과 과학성을 아우르는 복합성을 띠고 있다고 인식하고 있는 것으로 나타났다. 정원은 식물재료가 중심이 되며, 공원은 조형물 시설물이 중심이 되거나 식물재료와 조형물 시설물이 적절히 균형을 이루는 공간으로 인식하고 있었고, 전문가 집단에 비해 일반인 집단에서 정원은 식물재료 중심이며, 공원은 시설물/조형물 중심이라는 시각이 매우 높게 나타났다. 전문가 집단은 정원의 심미성을 더 강조하고 공원에 대해서는 실용성을 더 인식하고 있었으며, 일반인 집단은 정원과 공원의 실용성과 심미성에 대한 인식이 유사하게 나타났다. 또한, 일반인 집단에서 정원의 실용성이 공원의 심미성이 더 강조되어 상대적으로 공원에 대한 심미성을 더 인식하고 있는 것으로 나타났다. 조성 주체에 대해 정원은 민간부문으로, 공원은 공공부문으로 인식하고 있었으며, 그 차이는 전문가집단에서 더 크게 나타났다. 관리주체에 대해 전문가와 일반인 모두 공원이나 정원의 관리는 조성 주체가 수행해야 하는 것으로 인식하고 있어, 관리주체의 다양화에 대한 논의가 필요한 것으로 나타났다. 이와 같이 전문가 그룹과 일반인 그룹에서 정원과 공원 개념의 혼재와 더불어 일정한 인식의 차이가 있음을 알 수 있었고, 법적 제도와 인식에서도 아직은 큰 차이가 있는 것으로 나타났다.

• 한국식품영양과학회지
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• 제30권5호
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• pp.993-999
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• 2001

본 연구에서는 인터넷상에서 일반 대중들이 행동 수정 방법을 통해 올바른 식습관을 비롯한 생활 습관을 가짐으로 체중 감량을 통해 정상적인 체중을 장기간 유지할 수 있도록 하기 위하여 전문가 시스템 툴인 KEA를 사용하여 실시간 상담을 해줄 수 있는 프로그램을 개발하였다. 전문가 시스템인 KEA는 MCRDR 이론을 사용하여 특정 분야의 전문가가 전문가 시스템에 관한 전문지식 없이도 시스템을 직접 구축 운용할 수 있는 환경을 구축하여 지식의 전문가가 직접 지식데이터 베이스를 구축하고 유지.보수하여 저렴한 비용으로 장기간 운영이 가능하다는 장점이 있다. 처음에 KEA로 상담할 수 있도록 지식을 학습시키기 위하여 체중 감량에 관련된 설문지를 작성하여 과체중 또는 비만한 사람 150명을 대상으로 설문을 받아 전문 영양사가 이에 대한 상담을 하고 이것을 KEA에 학습시켰다. 설문지는 인터넷 상담 프로그램과 같은 설문지를 사용하여 각 대상으 비만의 원인, 식습관, 생활습관, 운동 습관을 조사하였다. 체중 감량 상담은 행동 수정 이론을 적용하여 내담자가 스스로 잘못된 식습관 및 생활습관을 수정함으로써 점차 체중을 감량하여 평생 적절한 체중을 유지할 수 있는 방법을 터득할 수 있도록 상담하는 것을 원칙으로 하였다. 지식을 KEA에 학습시키는 방법은 조사한 설문을 바탕으로 case에서 적절한 항목값으로 추출하고 KEA에 지식을 만들기 위한 조건으로 추가한 후 이러한 조건에 맞는 상담 결론을 선택하고 추가하는 방식으로 KEA에 학습시켰다. 이 프로그램은 인터넷을 통해 일반인이 사용할 수 있도록 인터페이스를 만들었고 사용자가 프로그램에 들어가서 실시간으로 전문가의 상담을 받을 수 있다. 사용자가 인터넷 체중감량 상담 프로그램을 사용하기 위하여 화면에 있는 설문에 답을 기입하면 이미 축적된 KEA의 지식으로 실시간으로 상담의 결론을 내려주었다. 만약 사용자의 상황이 KEA에 축적되어 있는 지식으로 결론을 내릴 수 없으면 '결론없음'이라는 말이 뜨게 되고 이때는 전문가각 직접 이 상담 case를 분석하여 KEA에 지식을 축적시켜 점차 KEA의 지식을 확충시켰다. 결론적으로 전문가 시스템인 KEA를 이용하여 체중 감량의 원칙을 행동 수정 방법에 따라서 사용자의 개인에 맞는 방법을 체중 감량을 할 수 있도록 전문가가 일대일로 실시간으로 상담할 수 있도록 하여 건강하게 체중 감량을 할 수 있도록 하였다.

• 한국환경복원기술학회지
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• 제8권3호
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• pp.53-66
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• 2005

The objective of this study is the classification of priority areas for the implementation of green roof by evaluating environmental deterioration in Seoul. Non-permeable pavement, air pollution, habitual floods, energy use, heat island and green space are considered in this assessment indicators. The expert questionnaire survey was conducted in order to determine the most important indicators. These indicators were then, thoroughly evaluated. As a result, high priority areas for the implementation of green roof were deduced in the following order of the districts : Jung, Sungdong, Jungrang, Youngdungpo, Jongro and Kangnam. The highest priority areas were determined to be crowded business-commercial areas. Low priority areas are analyzed in the following order of the districts : Kwanak, Nowon, Seocho and Dobong. The result of this study can be utilized for environmental planning and decision of related policies. Additionally, it can be promoted that awareness of implementing green roof of citizens, policy makers and building owners and effect of green networking between inside and outside Seoul can be increased.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제19권1호
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• pp.47-57
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• 2013

Purpose: The purpose of this study is to provide reference points for the improvement work of churches' convenience facilities for the elderly. To do this, the study generates survey results, showing that the perception to significance of churches' convenience facilities is different among survey constituents. Method: The survey method was utilized. The study population for survey includes the aged believer over 65 years old, pastors, and architecture and/or interior design experts. The questionnaire was devised while consulting existing regulations regarding convenience facilities in general. Results: It is found that the perception to significance of installation standards for convenience facilities is different among survey constituents. Specifically, while the older believer group is perceived that installation standards for the small group meeting room of 'other facility' is comparatively more important, the pastor group and the expert group perceive that the 'intermediate facility' and 'inner facility' are more important. Implications: Participants involved in an improvement project of churches' convenience facilities may have a different perception about their importance due mainly to the degree of usage and the difference of perspectives. This study, therefore, can be used as a reference point for prioritizing improvement works of churches' convenience facilities for the elderly.

• 대한간호학회지
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• 제41권3호
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• pp.294-301
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• 2011

Purpose: The purpose of this study was to examine the effects of laughter therapy on postpartum fatigue and stress respon-ses of postpartum women. Methods: The research design was a nonequivalent control group non-synchronized design. The participants were 67 postpartum women who agreed to participate in this study, selected by convenience sampling: (experiment group-33 and control group-34). The data were collected from August 5 to September 30, 2010. The experimental group received laughter therapy from a laughter therapy expert for 60 min, twice a week for 2 weeks, a total of 4 sessions. To evaluate the effects of laughter therapy, postpartum fatigue by self-report questionnaire and cortisol concentration in breast milk were measured. The data were analyzed using the SPSS WIN 13.0 Program. Results: The first hypothesis that "the degree of postpartum fatigue in the experimental group participating in laughter therapy would be lower than that of the control group" was accepted. These findings indicate that laughter therapy has a positive effect on decreasing postpartum fatigue. Conclusion: The finding provides evidence for use of complementary and alternative nursing in Sanhujori facilities and obstetric units to reduce postpartum women's fatigue.

• 성인간호학회지
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• 제25권4호
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• pp.365-376
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• 2013

Purpose: The purpose of this study was to construct, develop, and apply a nursing information system (NIS) using NANDA-NOC-NIC linkage in medical-surgical nursing units. Methods: This study consisted of three phases which were the construction of the database, development of the NIS, and application of the NIS. To construct the database, a questionnaire and nursing record review by an expert group were used. Collected data were analyzed by the SPSS/WIN 13.0 program. Results: In first phase, the database was made up of 50 nursing diagnoses, 127 nursing outcomes and 300 nursing interventions. In the second phase, NIS was developed according to its flow diagram and then tested. In the third phase, the developed NIS was applied to 130 inpatients. Nursing diagnoses frequently used were acute pain, delayed surgical recovery, and deficient knowledge (specify). Nursing outcomes for a nursing diagnosis of 'acute pain' were identified as pain control, pain level and comfort level. Nursing interventions for the nursing outcome 'pain control' were pain management, patient controlled analgesia assistance and medication management. Conclusion: The results of this study will facilitate the use of the newly proposed NIS in nursing practice and provide a guideline for evidence-based nursing.

• 사상체질의학회지
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• 제29권3호
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• pp.242-247
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• 2017

Objective Korean medicine Data Center (KDC) has established large-scale biological and clinical data based on Korean medicine to demonstrate and validate its theory. The aim of this study was to develop KDC teaching dataset and user guideline to improve utilization of the KDC. Method KDC teaching dataset were selected using stratified random sampling according to the Sasang constitution (SC). This dataset included 72 variables of 500 sample subjects. The user guideline described how to conducted eight statistical analysis methods using the teaching dataset. Results The KDC teaching dataset was sampled from 200(40%) Taeeumin, 125(25%) Soeumin, and 175(35%) Soyanain. It was consisted of questionnaire (basic, habit, disease, symptom), physical exam (body measurement, blood pressure), blood exam, and expert' SC diagnosis. The usage guidelines provided instruction for users to perform several statistical analysis step by step with KDC teaching dataset. Conclusion We hope that our results will contribute to enhancing KDC utilization and understanding.